Provider Demographics
NPI:1033233572
Name:PER SPECTACLES INC
Entity Type:Organization
Organization Name:PER SPECTACLES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:WEINSTEIN FNAO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-893-8776
Mailing Address - Street 1:1040 S GILBERT RD
Mailing Address - Street 2:STE 101A
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296
Mailing Address - Country:US
Mailing Address - Phone:480-893-8776
Mailing Address - Fax:480-753-6314
Practice Address - Street 1:1040 SOUTH GILBERT RD
Practice Address - Street 2:STE 101A
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296
Practice Address - Country:US
Practice Address - Phone:480-893-8776
Practice Address - Fax:480-753-6314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ838156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty